Samantha Larsen, in Salem, NH - Medicare Occupational Therapist Provider

Samantha Larsen, is a medicare enrolled "Occupational Therapist" provider in Salem, New Hampshire. Her current practice location is 2 Keewaydin Dr, Salem, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (800) 995-2673.

Samantha Larsen is licensed to practice in Maine (license number OT2824) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205227725.

Contact Information

	Samantha Larsen,
	2 Keewaydin Dr, Salem, NH 03079-2839
	(800) 995-2673
	(888) 979-6551

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Larsen
Gender	Female
Speciality	Occupational Therapist
Location	2 Keewaydin Dr, Salem, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205227725
Provider Enumeration Date: 02/06/2015
Last Update Date: 02/06/2015

Medicare PECOS Information:

PECOS PAC ID: 5193150647
Enrollment ID: I20200110002192

Medical Identifiers

Medical identifiers for Samantha Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205227725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2824 (Maine)	Primary
225X00000X	Occupational Therapist	2303 (New Hampshire)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Larsen allows following entities to bill medicare on her behalf.

Provider Name	Davis Pt A Balanced Approach Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508427162 PECOS PAC ID: 3274868898 Enrollment ID: O20190718000281

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Larsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Larsen, 2 Keewaydin Dr, Salem, NH 03079-2839 Ph: (800) 995-2673	Samantha Larsen, 2 Keewaydin Dr, Salem, NH 03079-2839 Ph: (800) 995-2673

Reviews and Comments

Occupational Therapist in Salem, NH

Nichol R Vayder, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551
Kristen Fisher, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 609-893-1628
Sara Marie Roy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Stiles Rd Ste 106, Salem, NH 03079 Phone: 603-882-4500
Zeewei Guo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 888-979-6551
Mrs. Patricia L Massey., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 781-782-1300 Fax: 781-782-1350
Kaitlyn Irwin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 Stiles Rd Ste 106, Salem, NH 03079 Phone: 603-882-4500
Melisa Erder, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Ermer Rd Unit 102, Salem, NH 03079 Phone: 603-893-0984 Fax: 603-898-4385

Samantha Larsen, - Medicare Occupational Therapist in Salem, NH